Maintenance of Certification

Please note: Prior to completing this form you will need a signed and completed Endorsement of Supervisor for Maintenance ready for upload.

  • Please enter the date you were certified.
    Date Format: MM slash DD slash YYYY
  • Please list below any relevant professional development completed over the last two years. A minimum of fifteen (15) eligible hours is required for maintenance of certification. The maintenance policy in your Certification Manual should be consulted for eligibility of hours.
  • DescriptionDate CompletedHours Completed 
  • I attest that the above information is true and complete to the best of my knowledge. I understand that any misrepresentation could result in decertification.
  • Drop files here or
    Accepted file types: jpg, jpeg, png, pdf, doc, docx, odt.
    Please upload a signed copy(ies) of the "Endorsement of Supervisor for Certification Maintenance" document.

Personal Information Protection

The information requested in this form is collected under the Personal Information Protection Act for Child and Youth Care Association of Alberta’s internal use only.  No information contained in this form will be disclosed to any other individual, group, or agency as per the Confidentiality Policy of the Child and Youth Care Association of Alberta.  Questions concerning this collection should be directed to info@cycaa.com